School Incentives Order Form

School Incentives Order Form

These are valid at Soifer Family McDonald's 17 locations in Northeast Iowa. Please only fill out this form if you are near our locations.
Name*

First NameLast Name
School Name *
Phone Number*
Please enter a phone number we can leave a message at alerting you that the incentives are ready for pickup.
Email*
We will email you if incentives have not been picked up within two weeks.
What grade do you teach?*
At which Soifer Family McDonald's location will you pick up your incentives?*
We will call you when incentives arrive.

Reward Incentive Options- Please limit to five selections.

	10	20	30
1. Great Grades (Ice Cream Cone)
2. Congrats from McDonald's (Hamburger)
3. Academic Improvement (4pc Nuggets)
4. Student Achievement (Apples)
5. Student Achievement (Hamburger)
6. Kindergarten Kid (Apples)
7. Fire Prevention (Hamburger)
8. Honor Student (4pc Nuggets)
9. Math Award (Cone)
10. Perfect Attendance (Apples)
11. Read Lead Bookmark (Hamburger)
12. Caught Doing Good (Apples)
13. Job Well Done (Hamburger)
14. Reading Award (Milk or Juice)
15. Summer Reading (Cone)
16. Good Citizen (4pc Nuggets)
17. Super Shinning Star (Hamburger)